Kodi, Bita

Kodi, Bita is an sole proprietor health care provider with primary practice located at 561 Saxony Pl Ste 101 , Encinitas CA 92024-7700. She recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Corporate Health, Ambulatory Health Care Facilities / Occupational Medicine, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Ambulatory Health Care Facilities / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Kodi, Bita can be contacted via phone (760) 503-4703.

Contact Information

Primary practice address
561 Saxony Pl Ste 101 Encinitas CA 92024-7700
Phone: (760) 503-4703
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Corporate Health 261QC1800X 95010378 California
Ambulatory Health Care Facilities / Occupational Medicine 261QX0100X 95010378 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95010378 California
Ambulatory Health Care Facilities / Primary Care 261QP2300X 95010378 California

Profile Details

NPI number 1316501786
LBN Legal business name Kodi, Bita
Credentials PMHNP-BC, FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 30th, 2019
Last updated May 25th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316501786 NPPES
California Other NP95010378 FNP LICENSE NUMBER
California Other NPF95010378 FNP LICENSE NUMBER

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